Nagaland CMHIS Health Insurance: ₹5 Lakh General Cover, Cards & Portals

Researched by Abhijit ChowdhuryPublished: Last verified:

Quick Summary

ParameterSpecification
Scheme NameChief Minister's Health Insurance Scheme (CMHIS)
StateNagaland
Operating AgencyNagaland Health Protection Society (NHPS), Department of Health & Family Welfare
Universal Healthcare ObjectiveEnsuring comprehensive financial risk protection for all permanent citizens of Nagaland
General Category Entitlement₹5,00,000 cashless inpatient cover per family per year
Employee & Pensioner EntitlementUp to ₹20,00,000 cashless cover per family per year
Secondary & Tertiary Benefit PackagesOver 1,600 specialized surgical and medical procedure packages
Primary Identification SourceIndigenous Inhabitant Certificate (IIC), Permanent Resident Certificate (PRC), or PIMS ID
Official Web Portalhttps://cmhis.nagaland.gov.in
Dedicated Society Help Desk Phone1800-202-3380
Citizen Health Toll-Free14555 / 104

Universal Health Coverage Framework in Nagaland

The Chief Minister's Health Insurance Scheme (CMHIS) is Nagaland's comprehensive healthcare protection program, designed to achieve universal health coverage across the state. Conceived to complement and expand upon the national Ayushman Bharat PM-JAY scheme, CMHIS guarantees that every permanent household in Nagaland possesses reliable financial defense against severe illnesses and hospitalization expenses.The program bridges social and economic divides by categorizing the population into targeted operational tiers while maintaining a single standard of clinical quality. Services operate on a completely cashless and paperless basis across government district hospitals, Christian mission health centers, and accredited private multi-specialty hospitals in Nagaland and neighboring northeastern states.

Core Operational Tiers and Entitlement Limits

CMHIS organizes its beneficiaries into two structured coverage streams:

1. CMHIS (General Category - GC)

  • Targets all indigenous inhabitants and permanent residents of Nagaland who are not covered under national Ayushman Bharat PM-JAY or regular government service.
  • Each enrolled household receives ₹5,00,000 in annual cashless hospital coverage on a family-floater basis.
  • The state government funds 100% of the insurance premium, ensuring zero recurring contribution fees for vulnerable citizens.

2. CMHIS (Employee & Pensioner - EP)

  • Targets active state government employees, regular judicial officers, and retired state pensioners.
  • Provides comprehensive cashless hospital coverage up to ₹20,00,000 per family per year.
  • Replaces legacy, tedious post-treatment medical reimbursement paperwork with instant, transparent cashless authorizations at accredited hospitals nationwide.

Detailed Eligibility Requirements

Applicants must satisfy the following identity conditions:

For the General Category (CMHIS-GC)

  • The applicant must be an Indigenous Inhabitant of Nagaland possessing an official Indigenous Inhabitant Certificate (IIC), or a permanent resident holding a Permanent Resident Certificate (PRC) issued before the notified cutoff year.
  • The family must not be active beneficiaries of central Ayushman Bharat PM-JAY (families with PM-JAY already receive the ₹5 Lakh national cover).
  • The household must not belong to the state regular government employee or pensioner payroll.

For the Employee Category (CMHIS-EP)

  • State government employees must maintain an active Personal Information Management System (PIMS) identification code.
  • Retired pensioners must possess an official Pension Payment Order (PPO) issued by the Accountant General of Nagaland.

Required Documentation Checklist

Assemble digital scans and clean photocopies of the following credentials before registering:

  • Aadhaar Card of every dependent household member.
  • Indigenous Inhabitant Certificate (IIC) or Permanent Resident Certificate (PRC) issued by the competent Deputy Commissioner.
  • Ration Card issued by the Food and Civil Supplies Department, or verified Village Council Family Certificate.
  • For Employees: Official Service Identity Card and PIMS code printout.
  • For Pensioners: Pension Payment Order (PPO) booklet showing pensioner details.
  • Active Mobile Number linked with the applicant's Aadhaar profile.

Step-by-Step Online Registration Guide

Nagaland enables direct citizen enrollment through its modern web platform:

  1. Open your web browser and navigate to the official portal at cmhis.nagaland.gov.in.
  2. Select Citizen Registration from the main landing menu.
  3. Choose your category: CMHIS General (GC) or CMHIS Employee & Pensioner (EP).
  4. For General Category, input your Indigenous Inhabitant Certificate number or Ration Card number.
  5. For Employees, enter your unique PIMS code to auto-fetch official service records.
  6. Validate your mobile number using the One-Time Password sent to your phone.
  7. Enter demographic details for your spouse, children, and dependent parents.
  8. Upload scanned copies of the required certificates and identity cards (under 2 MB in PDF or JPEG format).
  9. Review all declared family information and click Final Submit.
  10. Once the District Verification Committee validates your records, download your printed digital CMHIS Card featuring individual ABHA identification numbers.

Hospital Admission and Cashless Care Protocol

Beneficiaries can access medical treatment through a straightforward hospital workflow:

  1. Visit any empanelled public or private healthcare institution and report to the dedicated CMHIS Help Desk at the reception lobby.
  2. Present your CMHIS Card or registered Aadhaar card to the Arogya Mitra.
  3. The Arogya Mitra validates your family profile on the national health portal and registers the electronic patient admission.
  4. The treating specialist submits an online pre-authorization request specifying the required clinical package, such as general surgery, orthopedic trauma repair, or pediatric care.
  5. After electronic clearance by the Nagaland Health Protection Society, all medical expenses, diagnostics, surgical theater charges, and room tariffs are billed directly to the state pool.
  6. The patient is discharged without out-of-pocket payment obligations, receiving discharge summaries and five days of prescribed post-hospitalization oral medications.

Dispute Redressal and Continuous Dialysis Protocols

To protect patients confronting chronic illnesses, Nagaland enforces dedicated clinical and administrative support systems:

Continuous Hemodialysis Management

For end-stage renal disease patients requiring recurring dialysis sessions, empanelled nephrology units receive pre-authorized composite treatment clearance. Patients attend their weekly dialysis sessions without administrative delays, and hospital pharmacies dispense prescribed supportive oral medicines directly.

District Grievance Redressal Cells

If an empanelled hospital delays admission, refuses prescribed package coverage, or demands cash deposits, beneficiaries can lodge complaints with the District Grievance Redressal Committee chaired by the Deputy Commissioner. Penalties, including hospital de-empanelment and compulsory patient refunds, are resolved within 15 working days.

Service DeskAccess URL / Helpline
CMHIS Official Web Portalhttps://cmhis.nagaland.gov.in
Department of Health & Family Welfare Nagalandhttps://nagahealth.nagaland.gov.in
Nagaland Official State Government Portalhttps://nagaland.gov.in
State Health Protection Society Helpline1800-202-3380
Central Citizen Health Helpline14555 / 104

Frequently Asked Questions